Center for Global Studies

Center for Global Studies

Host Family Application – Shanghai, February 2-7, 2018

Kakehashi, February 23-25, 2018

Kojo, March 15-27, 2018

Middle East International School, April 2-5, 2018

CGS views homestays as a central part of our cultural and educational exchange program. We want to ensure that visiting students experience American family life, and we want American families to become more aware of our visitors’ culture. Even more, we sincerely want international friendships to blossom based on affection and respect.

Thank you for being willing to host a student. Please note:

Visiting students should be treated as a member of the family as much as possible. They should participate in family meals, activities, chores, etc.
Visiting students should have a bed of their own in a bedroom; it is perfectly acceptable for them to share a room with the CGS student.
Visiting students should have some drawer, closet and bathroom space so they don’t have to live out of their suitcase.
Visiting students should eat breakfast before coming to school. If the host eats breakfast at school, be sure the visitor does as well.
Visiting students should follow the same routine as the host student for school lunchtime. If you qualify for free/reduced lunch, or providing lunch is a financial hardship, please let us know.
Visiting students should attend after-school activities with the host. If that is impossible, alternate arrangements should be made in advance. Keep in mind: If you participate in an after-school sport where the student cannot participate, you should make arrangements for your visiting student to be with another CGS student or with your family.
Visiting students should feel welcomed at all times; host family members should feel appreciated and respected at all times.
Should problems emerge, host families should contact the language teacher or Ms. Parham before problems become too big to solve.

At least one week before the students arrive, CGS host student and parent should attend the hosting meeting at school. At that meeting, you will receive more guidance and a schedule for the visit.

Thank you in advance for your hospitality.

------PLEASE TYPE DIRECTLY INTO THE GRAY BOXES BELOW------

Please answer the following questions that will help us match a student to your family:

CGS Student NameAge

Address:

Parents’/Guardians’ Names

Home telephone number:

Parent Cell number/s:

Student cell number:

Parents’/guardians’ email addresses:

Student email address:

Does anyone in the family smoke (in case there is an allergy): Yes No

Please answer the following questions about your home and family situation to give visiting students as much information as possible:

How would you describe your home?

Single-family house townhouse apartment two-family house

Names and ages of the students’ brothers and sisters who live at home:

Name Age

Do other family members or others live in the house? Please list their names and relationship:

Name Age

Are there any pets? If so, what types?

Will the visiting student have a private bedroom? If not, where will he/she sleep? Will the visiting student move between two homes during the visit, or stay in one home?

How do you get to school each day? Please give details (school bus, bus #; if from outside Norwalk, train station, van # and how do you get to the train station or van stop?

Do you eat breakfast and/or lunch at school?

Do you qualify for free/reduced lunch?

Is providing breakfast and/or lunch a financial hardship for your family:

Are you involved in any sports when the student is visiting? What is your schedule like?

Are you involved in any other extra-curricular activities when the student is visiting? What is your schedule like?

Does the family own a car? If so, is an adult available to pick up your visitor after school when there are special trips and/or events? Please explain.

At any time, will there be no adult supervision in the home? Please explain.

What types of hobbies or interests do you have?

What does your family do during leisure time?

In case of emergency and a parent or guardian cannot be reached, whom should we contact?

Name:

Phone:

Relationship to CGS student:

Thank you so much for taking the time to answer these questions.

Parents, please note the following safety issues:

When visitors from abroad are here, we ask you to please be aware of how prescription medicine, alcohol and cigarettes are stored. They should be in safe places that teenagers cannot access.

The same is true for any type of weapon.

Do you own a gun? Yes No Do you have a permit?

Where is it stored?

Is it locked? Yes No

After completing this form, please save a copy on your computer and then email it to:

Ms. Sigmund at for the Japan homestays,

Ms. Lok-DeFino at for the China homestay, or

Mr. Eldigwy at for the Middle East homestay.

Also, both the parent and student must sign the next page. Please print the page, sign it, and the student should give it to Ms. Sigmund, Ms. Lok-Defino, or Mr. Eldigwy

Thank you for everything!

Host Family Signature Page

Yes, we have generously volunteered to host a student from:

Shanghai in February, 2018

Kakehashi in February, 2018

Kojo in March, 2018

Middle East in April, 2018

and we have emailed the Host Family Application to the appropriate language teacher.

Student’s Name (print) ______

Parent’s Signature ______

Student’s Signature ______

Date ______